Not in healthcare but in education. For instance a friend of mine wasn't allowed to study at university because his parents were active in the church, and that was just one reason to land on the blacklist, basically if you weren't a "good socialist citizen" (which basically means: do as you're told and keep your mouth shut) you could kiss goodbye to any sort of career beyond a shitty factory job (this was in East Germany). But yeah, if you arrived at the emergency station with a heart attack they didn't ask for your party membership book before treating you, so that's at least something.
